Clinical Neuroscience

[Life events as risk factors in stroke]

MEDE Lilla1, JÓRI Adrien1, FAZEKAS Gábor1, FAZEKAS András1

JULY 20, 1993

Clinical Neuroscience - 1993;46(07-08)

[This preliminary study focused on whether there is any direct correlation betwen Life Events (LE) and stroke; and, additionally thethar hare is a temporal connection between stroke and LE. The number of LE in the stroke-group (21 persons) and that of the controls (21 persons) was not significantly different. In the 6-12 months prior to stroke the LE were significantly higher in the stroke-group than in the control group. The cerebrovascular patients proved to be „untrained" regarding stress. The role of Type A Personality (TABP) in the development of stroke was evaluated as well; it servad as a control for earlier observations.]

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  1. Fővárosi Szent István Kórház-Rendelőintézet, I. Ideggyógyászati Osztály

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[Elective extra-intracranial arterial bypass in the treatment of giant aneurysms of the carotid artery]

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[Clinical details are presented of 5 patients with a giant carotid aneurysm in whom both the occlusion of the aneurysm and the parent internal carotid artery were performed with an extra-intracranial arterial bypass. In the first case ligature of the giant carotid-ophthalmic aneurysm narrowed the parent artery critically and hemiplegia developed. The bypass operation did not improve the clinical outcome. In the second case the occlusion of the aneurysm was performed after an extra-intracranial anastomosis and in spite of the severely narrowed carotid artery the postoperative course was uneventful. In three cases of giant intracavernous aneurysm the occlusion of the carotid artery on the neck and just proximal to the ophthalmic artery was performed in the presence of an arterial bypass. All of the anastomoses were patent and no ischemic event developed during the follow up period. On the basis of these experiences the authors suggest that, if the preoperative tests (TCD, EEG, SPECT) reveal impending ischemic lesion after carotid compression, surgery should be performed with the combination of extra-intracranial bypass.]

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